Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joseph Louis Russo, CHIROPRACTOR

Individual provider Sports Physician Chiropractor · NPI 1053393884

Dr. Joseph Louis Russo, CHIROPRACTOR is a Sports Physician Chiropractor in Massapequa Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

500 Park Blvd
Massapequa Park, NY 11762-2742
Phone: (516) 798-8363
Fax: (516) 798-8586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence X00003447 (NY)

Record details

NPI number1053393884
Entity typeIndividual (Type 1)
GenderMale
Credentials CHIROPRACTOR
Sole proprietorYes
NPI enumeratedNovember 17, 2005
Last updated in NPPESOctober 10, 2012

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